Individual
IMANI MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
307 LAURIE LN, JACKSON, MS 39212-3523
(601) 260-4651
Mailing address
307 LAURIE LN, JACKSON, MS 39212-3523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3413
MS
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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